SUSA Financial Aid Form 2022/23
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Player Name *
Birth Year *
SUSA Team Name *
Parent/Guardian Name *
Phone Number *
Email Address *
Total Gross Household Income *
Please specify the monthly amount you can afford to pay for SUSA Tuition. (This will be taken into consideration, but is not a guarantee.) *
Please provide an explanation on why you are requesting assistance. *
MUST CHOOSE at least one tournament to volunteer at *
FINANCIAL AID AGREEMENT
You will be required to:
•Make the agreed upon monthly payments on time.
•Volunteer to work at one of our SUSA tournaments.
•Help your team create a basket for our annual SUSA Golf Outing.
***If you default on your payments and fail to meet the terms of this agreement, your financial aid will be rescinded.
Please initial to agree to the financial aid terms. *
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